- Intermountain Health (Columbia, SC)
- **Job Description:** The Coding Analyst I for SelectHealth provides general expertise in the areas of all areas of coding (professional, facility (inpatient ... reimbursement, compliance initiatives, regulatory legislation, and billing practices. This analyst reviews claims and monitors provider appeals including sending… more
- Humana (Columbia, SC)
- …our caring community and help us put health first** We are seeking an Actuarial Analyst 2 to join our Medicare Dental & Vision forecasting team. The Actuarial ... Analyst 2 analyzes and forecasts financial, economic, and other...continuously improving consumer experiences **Preferred Qualifications** + Familiarity with coding language such as SQL, SAS, R, Python, etc.… more
- Datavant (Columbia, SC)
- …a dynamic, high-growth environment and accelerate their development. **As an Operational Analyst , you will:** + Analyze operating variances and derive insights to ... issues in a clear and concise way across customer operations and coding operations + Own operations models, including capacity planning, throughput analyses,… more
- Ally (Columbia, SC)
- …is Detroit Hybrid preferred, however remote option possible The Senior Actuarial Analyst is responsible for developing and supporting a robust pricing framework at ... Ally Insurance. The Senior Actuarial Analyst will be expected to independently lead new projects...technical skills. Programming and automation skills a must. R coding language preferred. Detroit office with a hybrid work… more
- Highmark Health (Columbia, SC)
- …a big impact for those we serve. This job performs highly complex benefit coding , new client and group installation, as well as set-up of network structures (eg ... processes and business rules. **ESSENTIAL RESPONSIBILITIES** + Perform highly complex benefit coding , new client and group installation, as well as set-up of network… more
- CVS Health (Columbia, SC)
- …all with heart, each and every day. **Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 ... call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and written… more
- Highmark Health (Columbia, SC)
- …and studies of progressive scope and complexity + 7 years with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment ... that drive the Quadruple Aim + Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced… more
- Prime Therapeutics (Columbia, SC)
- …and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit ... as a subject matter expert on benefits and claim adjudication system coding setup. **Responsibilities** + Analyzes new business requirements for benefit design… more